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A Study to Investigate the Safety, Pharmacokinetics, and Immunogenicity of BITS7201A in Healthy Volunteers and Participants With Mild Atopic Asthma

Primary Purpose

Mild Atopic Asthma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BITS7201A
Placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Atopic Asthma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

General Inclusion Criteria:

  • Body mass index between 18 and 37 kilograms per meter square (kg/m^2)
  • Weight 50-120 kilograms
  • Participants in good health, determined by no clinically significant findings from medical history, 12-lead electrocardiogram (ECG), and vital signs
  • Clinical laboratory evaluations should be within the reference range for the test laboratory unless deemed not clinically significant by the Investigator and Sponsor.
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method for at least 70 days after the last dose of study drug
  • For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm for at least 70 days after the last dose of study drug

Additional Inclusion Criteria for Participants With Mild Atopic Asthma:

  • Diagnosis of asthma for greater than or equal to (>/=) 3 months prior to screening
  • History of atopy
  • Pre-bronchodilator forced expiratory volume in 1 second (FEV1) >/=60 percent (%) predicted at screening
  • Fractional exhaled nitric oxide (FeNO) >/=30 parts per billion (ppb) at screening and at randomization (predose)

Exclusion Criteria:

General Exclusion Criteria:

  • History or clinical manifestations of significant metabolic, hepatic, renal, pulmonary, cardiovascular, gastrointestinal, urologic, neurologic, or psychiatric disorders
  • History of hematologic or immunosuppressive disorders
  • History of severe depression or suicidal ideation
  • History of inflammatory bowel disease
  • History of anaphylaxis, hypersensitivity, or significant drug allergies
  • History or presence of an abnormal ECG, which is clinically significant
  • History of a positive tuberculin skin test in participants who are Bacille Calmette-Guérin (BCG) vaccine naïve or history of a positive interferon-gamma release assay in participants who have received the BCG vaccine
  • Participants with neutropenia or thrombocytopenia
  • History of alcoholism or drug addiction within 1 year of screening
  • Self-reported history of smoking (tobacco, marijuana, or vaping) within the 7 days prior to initiation of study drug
  • Smokers not able to pass the tobacco-related laboratory screening and who cannot refrain from smoking during the confinement periods
  • Pregnancy or lactation
  • History of malignancy, except completely excised basal cell carcinoma or squamous cell carcinoma of the skin
  • Any severe bacterial, fungal, or parasitic infections associated with hospitalization or IV antibiotics within 1 year of screening
  • History of active parasitic infection within 6 months or exposure to water-born parasites within 6 weeks prior to initiation of study drug
  • Upper or lower respiratory tract infection within 4 weeks prior to screening
  • Received oral antibiotics within 4 weeks prior to initiation of study drug, or IV/intramuscular (IM) antibiotics within 8 weeks prior to initiation of study drug
  • For health volunteers: use of any prescription medications/products within 7 days prior to Day 1 and throughout the study
  • Use of any immunosuppressive medication within 30 days or 5 half-lives, whichever is greater, prior to initiation of study drug
  • Use of a non-biologic investigational drug or participation in an investigational study with a non-biologic drug within 30 days prior to initiation of study drug (or within 5 half-lives of the investigational product, whichever is greater)
  • Use of a biologic investigational therapy or participation in an investigational study involving biologic therapy within 3 months or 5 half-lives, whichever is greater, prior to initiation of study drug
  • Received live or attenuated vaccine within 30 days prior to screening
  • Received killed vaccine within 14 days prior to initiation of study drug, unless deemed acceptable by the investigator and Sponsor
  • Positive blood test for chronic viral infections by: hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus (HIV) antibody

Additional Exclusion Criteria for Participants With Mild Atopic Asthma:

  • Poorly controlled asthma
  • Use of any prescription medications and/or products other than asthma and/or allergic rhinitis medications within 7 days prior to Day 1 and throughout the study, unless deemed acceptable by the investigator and Sponsor
  • Active lung disease other than asthma
  • Occupations with potential exposure to exogenous sources of nitrous oxide and/or associated with elevated FeNO
  • Unable to perform FeNO measurement

Sites / Locations

  • New Orleans Center for Clinical Research; Volunteer Research Group

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Part A Cohort A: BITS7201A Dose Level 1 Subcutaneous (SC)

Part A Cohort B: BITS7201A Dose Level 2 SC

Part A Cohort C: BITS7201A Dose Level 4 SC

Part A Cohort D: BITS7201A Dose Level 4 Intravenous (IV)

Part A Cohort E: BITS7201A Dose Level 6 IV

Part A: Placebo

Part B Cohort F: BITS7201A Dose Level 3 SC

Part B Cohort G: BITS7201A Dose Level 4 SC

Part B Cohort H: BITS7201A Dose Level 5 SC

Part B Cohort I:BITS7201A Dose Level 5 SC (Mild Atopic Asthma)

Part B: Placebo

Arm Description

Healthy participants will receive a single SC dose of BITS7201A dose Level 1 on Day 1.

Healthy participants will receive a single SC dose of BITS7201A dose Level 2 on Day 1.

Healthy participants will receive a single SC dose of BITS7201A dose Level 4 on Day 1.

Healthy participants will receive a single IV dose of BITS7201A dose Level 4 on Day 1.

Healthy participants will receive a single IV dose of BITS7201A dose Level 6 on Day 1.

Healthy participants will receive a single SC or IV dose of placebo matched to BITS7201A on Day 1.

Healthy participants will receive a single SC dose of BITS7201A dose Level 3 every 4 weeks (Q4W) on Days 1, 29, and 57.

Healthy participants will receive a single SC dose of BITS7201A dose Level 4 Q4W on Days 1, 29, and 57.

Healthy participants will receive SC dose of BITS7201A dose Level 5 Q4W on Days 1, 29, and 57.

Mild atopic asthma participants will receive SC dose of BITS7201 dose Level 5 Q4W on Days 1, 29, and 57.

Healthy participants or mild atopic asthma participants will receive SC doses of placebo matched to BITS7201A Q4W on Days 1, 29, and 57.

Outcomes

Primary Outcome Measures

Percentage of Participants with Adverse Events (AEs)
Number of Participants with Anti-Therapeutic Antibodies (ATA) to BITS7201A and Associated Clinical Sequelae

Secondary Outcome Measures

Maximum Observed Serum Concentration (Cmax) of BITS7201A
Total Clearance (CL/F) of BITS7201A
Apparent Volume of Distribution (Vz/F) of BITS7201A
Area under the Concentration-Time Curve (AUC) of BITS7201A
Half-Life (t1/2) of BITS7201A
Bioavailability (Percentage of Administered Dose Reaching the Systemic Circulation) of BITS7201A
Number of Participants with Impact of ATA Status

Full Information

First Posted
April 6, 2016
Last Updated
July 2, 2018
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02748642
Brief Title
A Study to Investigate the Safety, Pharmacokinetics, and Immunogenicity of BITS7201A in Healthy Volunteers and Participants With Mild Atopic Asthma
Official Title
A Phase I, Randomized, Observer-Blinded, Placebo-Controlled, Single and Multiple Ascending-Dose Study to Investigate the Safety, Pharmacokinetics, and Immunogenecity of BITS7201A in Healthy Volunteers and Patients With Mild Atopic Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Completed
Study Start Date
April 7, 2016 (Actual)
Primary Completion Date
June 14, 2017 (Actual)
Study Completion Date
June 14, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
This randomized, observer-blinded, placebo-controlled, single and multiple ascending-dose study will be conducted in two parts to evaluate the safety, pharmacokinetics, and immunogenicity of BITS7201A. Part A will be an ascending, single-dose, sequential-group study where participants will be randomly assigned to active drug or placebo. Part B will be an ascending, multiple-dose, sequential-group study where participants will be randomized to active drug or placebo. Total length of the study is anticipated to be approximately 12 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Atopic Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
67 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A Cohort A: BITS7201A Dose Level 1 Subcutaneous (SC)
Arm Type
Experimental
Arm Description
Healthy participants will receive a single SC dose of BITS7201A dose Level 1 on Day 1.
Arm Title
Part A Cohort B: BITS7201A Dose Level 2 SC
Arm Type
Experimental
Arm Description
Healthy participants will receive a single SC dose of BITS7201A dose Level 2 on Day 1.
Arm Title
Part A Cohort C: BITS7201A Dose Level 4 SC
Arm Type
Experimental
Arm Description
Healthy participants will receive a single SC dose of BITS7201A dose Level 4 on Day 1.
Arm Title
Part A Cohort D: BITS7201A Dose Level 4 Intravenous (IV)
Arm Type
Experimental
Arm Description
Healthy participants will receive a single IV dose of BITS7201A dose Level 4 on Day 1.
Arm Title
Part A Cohort E: BITS7201A Dose Level 6 IV
Arm Type
Experimental
Arm Description
Healthy participants will receive a single IV dose of BITS7201A dose Level 6 on Day 1.
Arm Title
Part A: Placebo
Arm Type
Placebo Comparator
Arm Description
Healthy participants will receive a single SC or IV dose of placebo matched to BITS7201A on Day 1.
Arm Title
Part B Cohort F: BITS7201A Dose Level 3 SC
Arm Type
Experimental
Arm Description
Healthy participants will receive a single SC dose of BITS7201A dose Level 3 every 4 weeks (Q4W) on Days 1, 29, and 57.
Arm Title
Part B Cohort G: BITS7201A Dose Level 4 SC
Arm Type
Experimental
Arm Description
Healthy participants will receive a single SC dose of BITS7201A dose Level 4 Q4W on Days 1, 29, and 57.
Arm Title
Part B Cohort H: BITS7201A Dose Level 5 SC
Arm Type
Experimental
Arm Description
Healthy participants will receive SC dose of BITS7201A dose Level 5 Q4W on Days 1, 29, and 57.
Arm Title
Part B Cohort I:BITS7201A Dose Level 5 SC (Mild Atopic Asthma)
Arm Type
Experimental
Arm Description
Mild atopic asthma participants will receive SC dose of BITS7201 dose Level 5 Q4W on Days 1, 29, and 57.
Arm Title
Part B: Placebo
Arm Type
Placebo Comparator
Arm Description
Healthy participants or mild atopic asthma participants will receive SC doses of placebo matched to BITS7201A Q4W on Days 1, 29, and 57.
Intervention Type
Drug
Intervention Name(s)
BITS7201A
Other Intervention Name(s)
RO7040547
Intervention Description
BITS72014A will be administered on Day 1 in Part A and on Days 1, 28, and 57 in Part B.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matched to BITS72014A will be administered on Day 1 in Part A and on Days 1, 28, and 57 in Part B.
Primary Outcome Measure Information:
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
Baseline up to end of the study (Approximately 12 months)
Title
Number of Participants with Anti-Therapeutic Antibodies (ATA) to BITS7201A and Associated Clinical Sequelae
Time Frame
Baseline up to end of the study (Approximately 12 months)
Secondary Outcome Measure Information:
Title
Maximum Observed Serum Concentration (Cmax) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Total Clearance (CL/F) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Apparent Volume of Distribution (Vz/F) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Area under the Concentration-Time Curve (AUC) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Half-Life (t1/2) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Bioavailability (Percentage of Administered Dose Reaching the Systemic Circulation) of BITS7201A
Time Frame
Part A: predose on Day 1; Days 2, 5, 8, 15, 29, 43, 57, 85; 0.5, 2 hours postdose (for IV only) on Day 1; Part B: predose on Days 1, 29, 57; on Days 5, 8 15, 61, 71, 85, 113, 141 (predose: 0 hour; IV infusion duration = 15 approximately minutes)
Title
Number of Participants with Impact of ATA Status
Time Frame
Baseline up to end of the study (Approximately 12 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: General Inclusion Criteria: Body mass index between 18 and 37 kilograms per meter square (kg/m^2) Weight 50-120 kilograms Participants in good health, determined by no clinically significant findings from medical history, 12-lead electrocardiogram (ECG), and vital signs Clinical laboratory evaluations should be within the reference range for the test laboratory unless deemed not clinically significant by the Investigator and Sponsor. For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method for at least 70 days after the last dose of study drug For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm for at least 70 days after the last dose of study drug Additional Inclusion Criteria for Participants With Mild Atopic Asthma: Diagnosis of asthma for greater than or equal to (>/=) 3 months prior to screening History of atopy Pre-bronchodilator forced expiratory volume in 1 second (FEV1) >/=60 percent (%) predicted at screening Fractional exhaled nitric oxide (FeNO) >/=30 parts per billion (ppb) at screening and at randomization (predose) Exclusion Criteria: General Exclusion Criteria: History or clinical manifestations of significant metabolic, hepatic, renal, pulmonary, cardiovascular, gastrointestinal, urologic, neurologic, or psychiatric disorders History of hematologic or immunosuppressive disorders History of severe depression or suicidal ideation History of inflammatory bowel disease History of anaphylaxis, hypersensitivity, or significant drug allergies History or presence of an abnormal ECG, which is clinically significant History of a positive tuberculin skin test in participants who are Bacille Calmette-Guérin (BCG) vaccine naïve or history of a positive interferon-gamma release assay in participants who have received the BCG vaccine Participants with neutropenia or thrombocytopenia History of alcoholism or drug addiction within 1 year of screening Self-reported history of smoking (tobacco, marijuana, or vaping) within the 7 days prior to initiation of study drug Smokers not able to pass the tobacco-related laboratory screening and who cannot refrain from smoking during the confinement periods Pregnancy or lactation History of malignancy, except completely excised basal cell carcinoma or squamous cell carcinoma of the skin Any severe bacterial, fungal, or parasitic infections associated with hospitalization or IV antibiotics within 1 year of screening History of active parasitic infection within 6 months or exposure to water-born parasites within 6 weeks prior to initiation of study drug Upper or lower respiratory tract infection within 4 weeks prior to screening Received oral antibiotics within 4 weeks prior to initiation of study drug, or IV/intramuscular (IM) antibiotics within 8 weeks prior to initiation of study drug For health volunteers: use of any prescription medications/products within 7 days prior to Day 1 and throughout the study Use of any immunosuppressive medication within 30 days or 5 half-lives, whichever is greater, prior to initiation of study drug Use of a non-biologic investigational drug or participation in an investigational study with a non-biologic drug within 30 days prior to initiation of study drug (or within 5 half-lives of the investigational product, whichever is greater) Use of a biologic investigational therapy or participation in an investigational study involving biologic therapy within 3 months or 5 half-lives, whichever is greater, prior to initiation of study drug Received live or attenuated vaccine within 30 days prior to screening Received killed vaccine within 14 days prior to initiation of study drug, unless deemed acceptable by the investigator and Sponsor Positive blood test for chronic viral infections by: hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus (HIV) antibody Additional Exclusion Criteria for Participants With Mild Atopic Asthma: Poorly controlled asthma Use of any prescription medications and/or products other than asthma and/or allergic rhinitis medications within 7 days prior to Day 1 and throughout the study, unless deemed acceptable by the investigator and Sponsor Active lung disease other than asthma Occupations with potential exposure to exogenous sources of nitrous oxide and/or associated with elevated FeNO Unable to perform FeNO measurement
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
New Orleans Center for Clinical Research; Volunteer Research Group
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
30616547
Citation
Staton TL, Peng K, Owen R, Choy DF, Cabanski CR, Fong A, Brunstein F, Alatsis KR, Chen H. A phase I, randomized, observer-blinded, single and multiple ascending-dose study to investigate the safety, pharmacokinetics, and immunogenicity of BITS7201A, a bispecific antibody targeting IL-13 and IL-17, in healthy volunteers. BMC Pulm Med. 2019 Jan 7;19(1):5. doi: 10.1186/s12890-018-0763-9.
Results Reference
derived

Learn more about this trial

A Study to Investigate the Safety, Pharmacokinetics, and Immunogenicity of BITS7201A in Healthy Volunteers and Participants With Mild Atopic Asthma

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